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Vibe First In Human Study for the Assessment of Safety and Initial Performance of the Vibe Delivery System in Subjects With Idiopathic Overactive Bladder

Primary Purpose

Overactive Bladder

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Vibe Delivery system
Sponsored by
Vensica Therapeutics Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Overactive Bladder

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female subjects between the ages of 18 to 80 years old diagnosed with idiopathic OAB.
  2. Subject has signed Informed Consent Form and is willing and able to comply with all requirements of the protocol.
  3. Subjects with symptoms of incontinence associated with OAB for ≥ 3 months prior to screening.
  4. Subjects who are non-responsive, non-compliant or intolerable to pharmacologic oral therapy (e.g., anticholinergic agents).
  5. Subject is willing and able to initiate self-catheterization post-treatment, if required.
  6. Subjects with PVR ≤200 ml.
  7. Subjects who are mentally competent, with the ability to understand and comply with the requirements of the study.
  8. A negative urine pregnancy test during screening in women with childbearing potential. A female subject will also agree to use an adequate birth control method for the duration of her participation in the study and for a period of 6 months after participation completion.

Exclusion Criteria:

  1. Subjects currently using Clean intermittent catheterization (CIC) or indwelling catheter to manage their urinary incontinence.
  2. Pregnant or breastfeeding women, or women of childbearing potential who are planning to become pregnant during the study period or not practicing reliable contraception methods.
  3. Subjects with clinically significant Bladder Outlet Obstruction (BOO) according to medical history.
  4. Subjects with active urinary tract infection, as diagnosed on screening urinalysis.
  5. Subjects with known polyuria or polydipsia.
  6. Subjects with a known positive diagnosis of Myasthenia gravis, Eaton-Lambert syndrome, or Amyotrophic Lateral Sclerosis.
  7. Subjects with OAB due to any known neurological reason.
  8. Subjects currently undergoing biofeedback, pelvic muscle rehabilitation, pelvic floor physical therapy, or electrical-stimulation who are unwilling to discontinue such treatments for the duration of study participation.
  9. Subject with a 24-hour total urine volume voided greater than 3,000 ml, as measured at screening visit.
  10. Predominance of stress incontinence in the opinion of the investigator, determined by medical history.
  11. Subjects with vesico-ureteral reflux, genitourinary fistulae.
  12. Subjects with pelvic organ prolapse stage III or IV, (i.e. the most distal part of the prolapse protruding more than 1 cm beyond the hymen at straining).
  13. Subjects with prior Botox™ therapy of any serotype within 12 weeks for any indication, including urologic condition.
  14. Subjects with a history of pelvic radiation therapy.
  15. Subject who is morbidly obese (BMI > 40 Kg/m2).
  16. Subjects with a history of treatment for two or more UTIs within 6 months prior to screening or use of prophylactic antibiotics to prevent chronic UTIs.
  17. Subjects on immunomodulatory therapy (suppressive or stimulatory).
  18. History or evidence of any pelvic or lower tract genitourinary abnormalities, malignancy, bladder surgery (excluding stress incontinence or pelvic organ prolapse surgeries), or disease, other than OAB.
  19. Subjects with operative sling erosion.
  20. History of interstitial cystitis/painful bladder syndrome, in the opinion of the investigator.
  21. Subjects with current major psychiatric disorder or other psychiatric or medical issues that would interfere with study participation (e.g. dementia, psychosis, upcoming major surgery, etc).
  22. Subject has severe cardiac, pulmonary, renal, or hepatic disease that in the judgment of the study physician would preclude participation in this study.
  23. Any other condition or medical history, that to the discretion of the investigator and/or Sponsor, excludes the subject from participation in the study.

Sites / Locations

  • Jablonec Nad Nisou Medical Center
  • Braga Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment

Arm Description

Subjects treated with Botox (TM) with the Vibe investigational delivery system

Outcomes

Primary Outcome Measures

Serious Adverse Events Reporting
Incidence of device related SAEs

Secondary Outcome Measures

Serious Adverse Events Reporting
Incidence of device related SAEs within
Incontinence
Change from Baseline in the mean number of Episodes of Urinary Incontinence/24h, as assessed by urinary diary
Micturition
Change from Baseline in frequency of Micturition Episodes/24h, as assessed by urinary diary
Nocturia
Change from Baseline in Daily Average Number of Nocturia Episodes, as assessed by urinary diary
Urgency
Change from baseline in Urinary urgency, as assessed by urinary diary

Full Information

First Posted
March 12, 2019
Last Updated
December 3, 2019
Sponsor
Vensica Therapeutics Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03874780
Brief Title
Vibe First In Human Study for the Assessment of Safety and Initial Performance of the Vibe Delivery System in Subjects With Idiopathic Overactive Bladder
Official Title
First in Human (FIH) Study for the Evaluation of the Safety and Early Performance of the Vibe Delivery System for the Delivery of Botox™ in Subjects With Idiopathic Overactive Bladder (OAB)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
January 29, 2019 (Actual)
Primary Completion Date
March 31, 2019 (Actual)
Study Completion Date
March 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vensica Therapeutics Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This First In Human study is aimed to evaluate the safety and initial efficacy of the Vibe delivery system in delivering Botox (TM) to the bladder wall in patients diagnosed with overactive bladder.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overactive Bladder

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
Subjects treated with Botox (TM) with the Vibe investigational delivery system
Intervention Type
Device
Intervention Name(s)
Vibe Delivery system
Intervention Description
delivery of Botox (TM) to the bladder wall using an ultrasound technology with the Vibe delivery system
Primary Outcome Measure Information:
Title
Serious Adverse Events Reporting
Description
Incidence of device related SAEs
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Serious Adverse Events Reporting
Description
Incidence of device related SAEs within
Time Frame
12 weeks
Title
Incontinence
Description
Change from Baseline in the mean number of Episodes of Urinary Incontinence/24h, as assessed by urinary diary
Time Frame
12 weeks
Title
Micturition
Description
Change from Baseline in frequency of Micturition Episodes/24h, as assessed by urinary diary
Time Frame
12 weeks
Title
Nocturia
Description
Change from Baseline in Daily Average Number of Nocturia Episodes, as assessed by urinary diary
Time Frame
12 weeks
Title
Urgency
Description
Change from baseline in Urinary urgency, as assessed by urinary diary
Time Frame
12 weeks
Other Pre-specified Outcome Measures:
Title
Treatment Response
Description
Percentage of subjects who have a Positive Treatment Response on the Treatment Benefit Scale (TBS)
Time Frame
12 weeks
Title
Change in Quality of Life Total Score
Description
Change from baseline in Overactive Bladder Quality of life (OAB-q) total score. The OAB-q questionnaire is a validated, multi-sectional questionnaire that assesses the patient's coping with overactive bladder symptoms. The questionnaire is commonly used in clinical research and clinical setting for this indication, and consists of the following 6 scores: Symptoms severity score Coping score Concern/worry score Social score Sleep score Quality of life score These scores are further analyzed to obtain two domains: Quality of Life total score (improvement is demonstrated in higher scores), and Symptoms Bother Score (improvement is demonstrated in lower scores).
Time Frame
12 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female subjects between the ages of 18 to 80 years old diagnosed with idiopathic OAB. Subject has signed Informed Consent Form and is willing and able to comply with all requirements of the protocol. Subjects with symptoms of incontinence associated with OAB for ≥ 3 months prior to screening. Subjects who are non-responsive, non-compliant or intolerable to pharmacologic oral therapy (e.g., anticholinergic agents). Subject is willing and able to initiate self-catheterization post-treatment, if required. Subjects with PVR ≤200 ml. Subjects who are mentally competent, with the ability to understand and comply with the requirements of the study. A negative urine pregnancy test during screening in women with childbearing potential. A female subject will also agree to use an adequate birth control method for the duration of her participation in the study and for a period of 6 months after participation completion. Exclusion Criteria: Subjects currently using Clean intermittent catheterization (CIC) or indwelling catheter to manage their urinary incontinence. Pregnant or breastfeeding women, or women of childbearing potential who are planning to become pregnant during the study period or not practicing reliable contraception methods. Subjects with clinically significant Bladder Outlet Obstruction (BOO) according to medical history. Subjects with active urinary tract infection, as diagnosed on screening urinalysis. Subjects with known polyuria or polydipsia. Subjects with a known positive diagnosis of Myasthenia gravis, Eaton-Lambert syndrome, or Amyotrophic Lateral Sclerosis. Subjects with OAB due to any known neurological reason. Subjects currently undergoing biofeedback, pelvic muscle rehabilitation, pelvic floor physical therapy, or electrical-stimulation who are unwilling to discontinue such treatments for the duration of study participation. Subject with a 24-hour total urine volume voided greater than 3,000 ml, as measured at screening visit. Predominance of stress incontinence in the opinion of the investigator, determined by medical history. Subjects with vesico-ureteral reflux, genitourinary fistulae. Subjects with pelvic organ prolapse stage III or IV, (i.e. the most distal part of the prolapse protruding more than 1 cm beyond the hymen at straining). Subjects with prior Botox™ therapy of any serotype within 12 weeks for any indication, including urologic condition. Subjects with a history of pelvic radiation therapy. Subject who is morbidly obese (BMI > 40 Kg/m2). Subjects with a history of treatment for two or more UTIs within 6 months prior to screening or use of prophylactic antibiotics to prevent chronic UTIs. Subjects on immunomodulatory therapy (suppressive or stimulatory). History or evidence of any pelvic or lower tract genitourinary abnormalities, malignancy, bladder surgery (excluding stress incontinence or pelvic organ prolapse surgeries), or disease, other than OAB. Subjects with operative sling erosion. History of interstitial cystitis/painful bladder syndrome, in the opinion of the investigator. Subjects with current major psychiatric disorder or other psychiatric or medical issues that would interfere with study participation (e.g. dementia, psychosis, upcoming major surgery, etc). Subject has severe cardiac, pulmonary, renal, or hepatic disease that in the judgment of the study physician would preclude participation in this study. Any other condition or medical history, that to the discretion of the investigator and/or Sponsor, excludes the subject from participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
‪Maya Shick‬
Organizational Affiliation
Consultant
Official's Role
Study Director
Facility Information:
Facility Name
Jablonec Nad Nisou Medical Center
City
Jablonec Nad Nisou
Country
Czechia
Facility Name
Braga Medical Center
City
Braga
Country
Portugal

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Vibe First In Human Study for the Assessment of Safety and Initial Performance of the Vibe Delivery System in Subjects With Idiopathic Overactive Bladder

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